Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2019-09-09-20
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214236 DEA: 024H3804 EFIS: 0218000112 MINOR: 02A1831 |
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DIST-CO-RTE-PM | 02-PLU-36-6.6/6.6001 |
Award Date | Not set |
Closeout Date | 12/23/2020 |
Work Description | Chester MS Infiltration Trench Project |
Location Description | Storm Water Improvements in Plumas County about 1.9 miles West of Chester at the Chester Maintenance Station. |
QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
Sample Taken Date | 09/09/2019 | Sample Unique Key | 20 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 09/10/2019 |
Sample type | Verification | A brief description of the sample | PG 64-28 PM |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Nixa |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | D78165 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Albina Asphalt - Klamath FAlls, OR | Transportation Laboratory (TL) Number | 847546 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF | Structure unique identifier | |
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
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Modified | Yes | Lot number | Not set |
Sublot number | Not set | Tank number | Not set |
Time of sample | Not set | HMA Supplier | Not set |
Certified Asphalt Supplier | Not set | Multigrade | Not set |
Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2019-89 | Date Created | 12/18/2019 |
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JMF Submittal ID | JMF3511-22-2019-130 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | L191072 | Authorized Date | 10/07/2019 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-09-09-20-1 AASHTO T228-09r13 (Verified)